Organization Active NPI

University of Toledo Medical Ctr - 340B

  • Clinic Pharmacy
  • Toledo, OH
National Provider Identifier
1073884342
Registry record updated Mar 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
022673800 Issued in OH
Legal business name
UNIVERSITY OF TOLEDO MEDICAL CTR - 340B
Practice address
3125 Transverse Dr
Room 1341, Suite M
Toledo, OH 43614-8008
Phone
(419) 383-3355
Fax
(419) 383-3369
NPI assigned
Jan 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Daniel Barbee, RPH
Title
Ceo
Phone
(419) 383-3757

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Clinic Pharmacy 3336C0002X 022673800 OH Primary

Addresses

Primary practice location

3125 Transverse Dr
Room 1341, Suite M
Toledo, OH 43614-8008

Mailing address

3000 Arlington Ave # Ms 1220
Ms 1220
Toledo, OH 43614-2595
Phone (419) 383-3355

Other identifiers 2

IdentifierTypeStateIssuer
0060289MedicaidOH
2133383OtherPK

Other names 1

  • UTCARE Pharmacy - 340 B Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2142830University of Toledo, the3125 Transverse Drive, Toledo, OH 43614Certificate of waiverJan 18, 2028

National Provider Directory

National Provider Directory

Locations

3125 Transverse Dr
Rm 1341
Toledo, OH 43614
Phone (419) 383-3355

3000 Arlington Ave
Ste 1161
Toledo, OH 43614

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1326931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489536000000",
    "number": "1073884342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 ARLINGTON AVE # MS 1220",
            "address_2": "MS 1220",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436142595",
            "telephone_number": "419-383-3355",
            "fax_number": "419-383-3369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 TRANSVERSE DR",
            "address_2": "ROOM 1341, SUITE M",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436148008",
            "telephone_number": "419-383-3355",
            "fax_number": "419-383-3369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF TOLEDO MEDICAL CTR - 340B",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-19",
        "last_updated": "2017-03-15",
        "status": "A",
        "authorized_official_last_name": "BARBEE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "419-383-3757",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "OH",
            "license": "022673800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0060289",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2133383",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UTCARE Pharmacy - 340 B",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.